糖尿病足患者自我管理行为与自我感受负担的相关性研究

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英文篇名：Correlation between self-management behavior and self-perceived burden in patients with diabetic foot 作者：许琍文 ; 张力 ; 熊莺 ; 许芮嘉 ; 王莉 ; 付阿丹 英文作者：XU Li-wen;ZHANG Li;XIONG Ying;XU Rui-jia;WANG Li;FU A-dan;Tongji Medical College,Huazhong University of Science and Technology,the Central Hospital of Wuhan; 关键词：糖尿病足 ; 自我管理行为 ; 自我感受负担 ; 相关性研究 英文关键词：Diabetic foot;;Self-management behavior;;Self-perceived burden;;Correlational study 中文刊名：ZMXB 英文刊名：Chinese Journal of Prevention and Control of Chronic Diseases 机构：华中科技大学同济医学院附属武汉中心医院护理部;华中科技大学同济医学院附属武汉中心医院呼吸内科;华中科技大学同济医学院附属武汉中心医院内分泌科;华中科技大学同济医学院附属武汉中心医院心血管内科; 出版日期：2019-01-15 出版单位：中国慢性病预防与控制 年：2019 期：v.27;No.183 基金：2014年武汉市卫生计生委项目(WG14B11) 语种：中文; 页：ZMXB201901005 页数：4 CN：01 ISSN：12-1196/R 分类号：25-27+31

摘要

目的了解糖尿病足患者自我管理行为和自我感受负担的现状,探讨两者之间的相关性,为糖尿病足患者自我管理提供理论依据。方法选取2017年2-9月于华中科技大学同济医学院附属武汉中心医院就诊的130例糖尿病足患者作为研究对象,对其进行问卷调查。采用糖尿病自我管理行为量表对糖尿病足患者的自我管理行为进行评价,采用自我感受负担量表对糖尿病足患者的自我感受负担进行评价。用SPSS 20.0软件进行统计分析,采用Pearson相关分析、多元逐步回归分析两者之间的相关性。结果糖尿病足患者的自我感受负担总分为(35.38±7.79)分。糖尿病足患者的自我管理行为总分为(36.14±13.37)分,其中各维度条目均分为用药(5.17±1.35)分、饮食(3.32±1.66)分、测血糖(3.19±1.27)分、足部护理(3.02±1.30)分和运动(2.63±1.07)分。相关分析结果显示,糖尿病足患者自我感受负担与自我管理各维度得分(用药r=-0.526,饮食r=-0.536,足部护理r=-0.384,测血糖r=-0.421,运动r=-0.407)均呈负相关,均有统计学意义(P<0.01)。结论改善糖尿病足患者的自我管理行为,可能会减轻其自我感受负担。
        Objective To understand the status of self-management behavior and self-perceived burden of diabetic foot patients,and to explore the correlation between the two items,and to provide the theoretical basis for self-management of diabetic foot patients. Methods From February to September of 2017,130 out-patients in the hospital served as the subjects. The investigation was performed by questionnaire. The self-management behavior of diabetic foot patients was evaluated by the Summary of Diabetes Self-Care Activities Measure(SDSCA).The self-perceived burden was evaluated by the Self-perceived Burden Scale(SPBS).Pearson correlation analysis and multiple stepwise regression analysis were used to analyze the correlation between the two items.The used software was SPSS 20.0. Results The total SPBS score of diabetic foot patients was(35.38 ±7.79) points. The total SDSCA score of diabetic foot patients was(36.14±13.37) points,and each dimension item was divided into medication(5.17±1.35) points,diet(3.32±1.66) points,blood sugar testing(3.19±1.27) points,and foot care(3.02±1.30) points and exercise(2.63±1.07) points. Correlation analysis showed that the self-perceived burden of diabetic foot patients was negatively correlated with the scores of self-management behavior(medication,r=-0.526;diet,r=-0.536;foot care,r=-0.384;blood sugar testing,r=-0.421;exercise,r =-0.407),P <0.01. Conclusion Improving self-management behavior of patients with diabetic foot may potentially help to relieve self-perceived burden.

引文

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